• 제목/요약/키워드: laser surgery

검색결과 452건 처리시간 0.021초

Applications of Optical Imaging System in Dentistry

  • Eom, Joo Beom;Park, Anjin
    • Medical Lasers
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    • 제9권1호
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    • pp.25-33
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    • 2020
  • Optical-based imaging technology has high resolution and can assess images in real time. Numerous studies have been conducted for its application in the dental field. The current research introduces an oral camera that includes fluorescent imaging, a second study examining a 3D intraoral scanner applying a confocal method and a polarization structure that identifies the 3D image of a tooth, and finally, an optical coherence tomography technique. Using this technique, we introduce a new concept 3D oral scanner that simultaneously implements 3D structural imaging as well as images that diagnose the inside of teeth. With the development of light source technology and detector technology, various optical-based imaging technologies are expected to be applied in dentistry.

Improvement of Post-inflammatory Hyperpigmentation, Subsequent to Cold Atmospheric Plasma Treatment, in a Patient with Atopic Dermatitis

  • Lee, Mi Young;Won, Chong Hyun;Kim, Young Jae
    • Medical Lasers
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    • 제9권2호
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    • pp.187-189
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    • 2020
  • Cold atmospheric plasma (CAP) is a material that generates free radicals through the ionization of air. Despite the application in various medical fields, the efficacy and safety of CAP on post-inflammatory hyperpigmentation due to atopic dermatitis have not been reported. Herein, we report the improvement in post-inflammatory hyperpigmentation of atopic dermatitis, after CAP treatment of three sessions weekly, 10 minutes per session. We examined the clinical severity indexes before and after treatment, including the Investigator's Global Assessment, modified Atopic Dermatitis Antecubital Severity, Eczema Area and Severity Index, and pruritus visual analogue scores. Our results indicate that CAP alleviates the post-inflammatory hyperpigmentation and clinical severity of atopic dermatitis, and effectively improves the atopic skin lesion without severe safety issues. We believe that the previously reported anti-bacterial effects and production of interleukin-6 after CAP treatment are probably responsible for the underlying mechanisms leading to clinical improvement.

Safety Principles in the Application of Lasers in Energy-based Aesthetic Procedures from the Nurse's Perspective

  • Kim, Youn Jeong
    • Medical Lasers
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    • 제9권1호
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    • pp.34-38
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    • 2020
  • Recently, various lasers and energy-based devices (EBDs) have been widely used in aesthetic procedures. Although using lasers and energy-based aesthetic procedures presents a potential risk to doctors, nurses, and patients, aesthetic procedures tend to be performed without the necessary precautions. For injury prevention, it is essential to follow safety rules and be aware of potential accidents. Furthermore, it is important to understand the basic principles of the devices, including the different optical and electrical properties. Acquiring the exact knowledge to control a device is important for two reasons; to maintain a safer operating environment and prolong the lifespan of expensive devices. This review briefly summarizes the knowledge needed for better and safer aesthetic procedures and the proper control of aesthetic devices.

고방을 통한 정상안압 녹내장의 한방치험 1례 (A Case of Korean Herbal Medicine Treatment for Normal Tension Glaucoma using Go-Bang)

  • 한기은;강은정;이근섭
    • 대한한의학회지
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    • 제44권3호
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    • pp.102-116
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    • 2023
  • Objectives: To provide a case report of effective use of Korean herbal medicine treatment to reduce the development and progression of normal-tension glaucoma(NTG). Methods: This case involved a 52-year-old patient who had a history of excimer laser surgery at the age of 25 and was using prescriptions such as Cosopts2 and Xalatan for eye drops. We treated this patient with Korean herbal medicine treatment for 2 years and assessed the progression of NTG based on the optical coherence tomography test results that he recevied at the ophthalmology clinic every 6 months. Results: During the two years of treatment with Korean herbal medicine, it was observed that the progression of NTG was halted. However, after discontinuing the Korean herbal treatment, the progression resumed. Conclusion: Korean herbal medicine treatment was found to be effective in treating normal tension glaucoma, and a minimum treatment period of two years is necessary for an accurate evaluation of NTG.

보튤리눔 톡신-A가 백서의 임의 피판 생존율에 미치는 영향 (The Effect of Botulinum Toxin-A on the Survival of Random-Pattern Cutaneous Flap in Rat)

  • 김영석;이재수;유원민;탁관철
    • Archives of Plastic Surgery
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    • 제35권4호
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    • pp.360-366
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    • 2008
  • Purpose: Botulinum toxin type A(BoTA) can block the release of vasoconstriction cotransmitters as well as acetylcholine in nerve terminal. The authors observed that BoTA increases flap survival by preventing sympathetic collapse of peripheral vessels. Methods: 10 Sprague Dawley rats were divided into control(n=5), and BoTA group(n=5). $3{\times}10cm$ sized random pattern cutaneous flaps were elevated on the dorsal side in both groups. In BoTA group, BoTA was injected into the flap via intradermal to subdermal route, 7 days before the flap elevation. Flap survival rates (survival area/total area) were measured 7 days after the elevation. Cutaneous blood flow was measured in proximal, middle and distal compartments of the flap using laser Doppler flowmetry initially, preoperatively, at immediate postoperation, and 7 days after flap elevation, respectively. Histological examination was performed 7 days after the flap elevation. The number and shape of the vessels were evaluated under microscope. Results: Mean flap survival was $53.18{\pm}6.58%$ in control group and $93.79{\pm}6.06%$ in BoTA group, displaying statistically significant difference(p=0.0008, p<0.05). In the control group, blood flow to the middle and distal compartments of the flap decreased significantly immediately after flap elevation. In the BoTA group, blood flow to the middle compartment did not decrease(p=0.002) and slightly decreased in the distal compartment(p=0.001). Cutaneous blood flow was significantly higher in all compartments of the flap in BoTA group than in control group, 7 days after the flap elevation. In histopathologic examination, greater number of vessels were noted in the BoTA group than in the control group. Conclusion: Botulinum toxin A can increase the survival of the random pattern cutaneous flap in rats by preventing the sympathetic collapse of peripheral vessels.

각막굴절교정수술 후 각막절삭량과 안압변화의 상관관계 (Correlation between Corneal Ablation Amount and Intraocular Pressure after Corneal Refractive Surgery)

  • 정미아;이은희
    • 대한시과학회지
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    • 제20권4호
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    • pp.543-551
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    • 2018
  • 목적 : 각막굴절교정수술 후 각막절삭량에 따른 안압변화와 수술 전 굴절이상도에 따른 수술 후 안압 변화에 대하여 알아보고자 하였다. 방법 : 라식 각막굴절교정수술을 받은 평균연령 $37.34{\pm}7.42$세, 성인 남녀 108명(남자 48명, 여자60명)을 대상으로 선정하였다. 자동굴절검사기, 비접촉형안압계, 엑시머레이저를 이용하여 굴절이상도, 안압, 각막절삭량을 측정하였으며, p<0.05일 때 통계적으로 유의하다고 판단하였다. 결과 : 각막굴절교정수술 전 안압은 남자가 $15.08{\pm}2.60mmHg$, 여자가 $14.16{\pm}2.67mmHg$로 남자가 여자보다 높게 나타났으며, 각막굴절교정수술 후 안압 감소량은 남자가 4.22mmHg, 여자가 3.61mmHg로 나타났다. 등가구면 굴절력은 각막굴절교정 수술 전 남자 $-3.89{\pm}2.17D$, 여자 $-4.45{\pm}2.92D$에서, 각막굴절교정 수술 후 남자 $-0.10{\pm}0.46D$, 여자$-0.04{\pm}0.46D$로 나타났다. 각막굴절교정수술 후 각막절삭량은 남자 $53.95{\mu}m$, 여자 $61.26{\mu}m$로 통계적으로 유의한 차이가 있었으며, 각막절삭량과 안압의 감소량에는 유의한 상관성(r=0.2299, p<0.001)을 보였다. 성별로는 남자의 각막절삭량이 많아질수록 안압의 감소량은 유의하게 증가하는 것으로 나타났다. 굴절이상도가 증가할수록 안압의 감소량도 커져 경도의 굴절이상도에서는 $3.04{\pm}2.18mmHg$, 중등도의 굴절이상에서는 $4.10{\pm}2.16mmHg$, 고도의 굴절이상도에서는 $4.65{\pm}3.29mmHg$가 감소하는 것으로 나타났다. 결론 : 각막굴절교정수술 후 비접촉식 안압계로 측정한 안압은 감소하는 것을 알 수 있었으며, 안압측정은 녹내장 판단에 영향을 줄 수 있으므로 안압 측정시 각막굴절교정수술 여부에 대한 사전설문이 필요할 것으로 생각된다.

Limited mandibular movements after removal of the mandibular third-molar: use of the anterior bite plane and complementary therapies

  • Palinkas, Marcelo;Nassar, Regina Maura Arantes;Nassar, Mariangela Salles Pereira;Bataglion, Solange Aparecida;Bataglion, Cesar;Sverzut, Cassio Edvard;Hotta, Takami Hirono;Regalo, Simone Cecilio Hallak
    • 셀메드
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    • 제2권1호
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    • pp.6.1-6.4
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    • 2012
  • The traumatic removal of the mandibular third molar may promote post chirurgic consequences such as orofacial pain and limited mandibular movements. The aim of this case report is to describe the use of an anterior bite plane and complementary therapies (low level laser therapy and acupuncture) to treat the muscular dysfunction and the painful symptoms. A 33 year-old male patient who had a severe malocclusion and signs and symptoms of temporomandibular dysfunction was submitted to an initial clinical examination: electromyography of the masticatory muscles and IRM of the temporomandibular joint. After treatments, the results showed reduced pain symptoms and an increase of the mandibular movements and adequated electromiographic activities. The authors concluded that the combination therapies may be used as an alternative treatment because it satisfied the functional requirements of the patient and provided an asymptomatic clinical condition.

섬수 약침 마취 후 수술로 제거한 2가지 유형의 표피낭종(epidermal cyst) 증례 (A Case Report of 2 Types of Epidermal Cyst Surgically Removed after Bufonis Venenum Pharmacopuncture Anesthesia)

  • 정미래;이마음;권강;서형식
    • 한방안이비인후피부과학회지
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    • 제33권4호
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    • pp.126-132
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    • 2020
  • Objectives : The study is to report cases of open/closed types of epidermal cyst removed by surgical method with Bufonis Venenum pharmacopuncture. Methods : 2 patients were diagnosed each open/closed epidermal cyst. Local anesthesia was achieved with Bufonis Venenum pharmacopuncture. Incision was made using 15th blade and the CO2 Hani-maehwa laser. After cyst was removed, simple interrupted suture was performed. Eunkyo-san and Yeonkyopaedok-san were administered respectively for 7 days for anti-inflammatory effects. Results : Local anesthesia was maintained until epidermal cysts were clearly removed. The suture was removed after confirmation of skin adhesion. Adverse reactions were not reported. Conclusions : Epidermal cysts were removed surgically after Bufonis Venenum pharmacopuncture anesthesia and the risk of infection can be prevented by administering herbal medicines that have anti-inflammatory properties. It is difficult to visually diagnose closed type of epidermal cyst and then suggests that imaging equipment such as ultrasound is required.

Effects of Low-level Light Therapy at 740 nm on Dry Eye Disease In Vivo

  • Goo, Hyeyoon;Kim, Hoon;Ahn, Jin-Chul;Cho, Kyong Jin
    • Medical Lasers
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    • 제8권2호
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    • pp.50-58
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    • 2019
  • Background and Objectives Low-level light therapy (LLLT) is an application of low-power light for various purposes such as promoting tissue repair, reducing inflammation, causing analgesia, etc. A previous study suggested the effect of light emitting diode (LED) light with the wavelength of 740 nm for promoting wound healing of corneal epithelial cells. This current study aimed to confirm the effect of LLLT for managing inflammation of a dry eye disease (DED) mouse model. Materials and Methods A total of 50C57BL/6 female mice were randomly grouped into 5 groups to compare the effect of LLLT:1) Control group, 2) Only LLLT group, 3) Dry eye group, 4) LLLT in dry eye group, and 5) Early treatment group. DED was induced with 4 daily injections of scopolamine hydrobromide and desiccation stress for 17 days, and LLLT at 740 nm was conducted once every 3 days. To analyze the effect of LLLT on the DED mouse model, tear volume, corneal surface irregularities, and fluorescence in stained cores were measured, and the level of inflammation was assessed with immunohistochemistry. Results The DED mouse model showed significant deterioration in the overall eye condition. After LLLT, the amount of tear volume was increased, and corneal surface irregularities were restored. Also, the number of neutrophils and the level of inflammatory cytokines significantly decreased as well. Conclusion This study showed that LLLT at 740 nm was effective in controlling the corneal conditions and the degree of inflammation in DED. Such findings may suggest therapeutic effects of LLLT at 740 nm on DED.

Evaluation of the mechanical properties of current biliary selfexpandable metallic stents: axial and radial force, and axial force zero border

  • Wataru Yamagata;Toshio Fujisawa;Takashi Sasaki;Rei Ishibashi;Tomotaka Saito;Shuntaro Yoshida;Shizuka No;Kouta Inoue;Yousuke Nakai;Naoki Sasahira;Hiroyuki Isayama
    • Clinical Endoscopy
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    • 제56권5호
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    • pp.633-649
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    • 2023
  • Background/Aims: Mechanical properties (MPs) and axial and radial force (AF and RF) may influence the efficacy and complications of self-expandable metallic stent (SEMS) placement. We measured the MPs of various SEMSs and examined their influence on the SEMS clinical ability. Methods: We evaluated the MPs of 29 types of 10-mm SEMSs. RF was measured using a conventional measurement device. AF was measured using the conventional and new methods, and the correlation between the methods was evaluated. Results: A high correlation in AFs was observed, as measured by the new and conventional manual methods. AF and RF scatterplots divided the SEMSs into three subgroups according to structure: hook-and-cross-type (low AF and RF), cross-type (high AF and low RF), and laser-cut-type (intermediate AF and high RF). The hook-and-cross-type had the largest axial force zero border (>20°), followed by the laser-cut and cross types. Conclusions: MPs were related to stent structure. Hook-and-cross-type SEMSs had a low AF and high axial force zero border and were considered safest because they caused minimal stress on the biliary wall. However, the increase in RF must be overcome.